Individual
MR. RICHARD STUART
Active
Individual
MR. RICHARD STUART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1120
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57655
—
AZ
Enumeration date
12/08/2006
Last updated
07/08/2007
Update your record
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